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Novel Hystero-laparoscopic Technique for LNG-IUD Fixation in Women with High Risk of Expulsion and Desiring to Save the Uterus

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Abstract

Introduction

LNG-IUD although used extensively for its non-contraceptive indications like abnormal uterine bleeding (AUB), dysmenorrhoea and fibroid uterus, one of the major drawbacks is the high expulsion rates, especially among adenomyotic and fibroid uterus.

Material and Methods

Altius Hospitals, Bangalore have developed a new technique of LNG-IUD fixation, which employs hystero-laparoscopy and usage of a long port closure needle with delayed absorbable sutures.

Conclusion

It ensures proper placement and fixation of the LNG-IUD to the uterine cavity, reduces the expulsion rates and has the advantages of being a day care procedure.

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Acknowledgements

Mr. Shiju T and Staff Nurse Mrs. Deepa for operation theatre management and help with video capturing.

Funding

None.

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Authors and Affiliations

  1. Altius Hospitals, #6/63, 59th Cross, 4th Block, Rajajinagar Entrance, Opp. MEI Polytechnic, Bangalore, Karnataka, 560010, India

    B. Ramesh, M. S. Madhuri, Kiran R. Konda, Prajwala S. Aradhya & B. Jalajakshi

Authors
  1. B. Ramesh
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  2. M. S. Madhuri
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  3. Kiran R. Konda
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  4. Prajwala S. Aradhya
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  5. B. Jalajakshi
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Contributions

Concept and design: BR. Acquisition of data: BR, JB, PSA, MMS and KRK. Drafting of the manuscript: MMS and KRK. Critical revision of the manuscript for important intellectual content: BR.

Corresponding author

Correspondence to Kiran R. Konda.

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Conflict of interest

None.

Ethical Approval

The work described has not been published before and that it is not under consideration for publication anywhere else. The publication has been approved by all co-authors, as well as by the responsible authorities at Altius Hospitals, Bangalore. A case report for IRB purposes is a retrospective analysis of one, two, or three clinical cases. Therefore it does not have to be reviewed by an IRB.

Informed consent

An informed consent was obtained from the patient for the surgical procedure and recordings. None of the above data/figures reveals any patient identifiers. The Institutional Review Board does not mandate approval for case reports such as this, thus this report meets the Ethical standards as stated in the 1964 Declaration of Helsinki and its subsequent amendments.

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Dr. B. Ramesh M.D. (BOM), DGO is Medical Director & Chief Endoscopic Surgeon, Diploma in Gynae Endoscopy (USA), Medical Director & Chief Endoscopic Surgeon, Altius Hospitals, Bangalore; Dr. M. S. Madhuri M.S. (OBG) is Fellow in Minimal Invasive Surgery, Altius Hospitals, Bangalore; Dr. Kiran R. Konda M.S., DNB (OBG) is Fellow in Minimal Invasive Surgery, Altius Hospitals, Bangalore; Dr. Prajwala S. Aradhya M.S. (OBG) is Consultant Obstetrician and Gynaecologist, Bangalore; Dr. B. Jalajakshi M.D., DNB (OBG), Consultant Obstetrician and Gynaecologist, Bangalore

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Ramesh, B., Madhuri, M.S., Konda, K.R. et al. Novel Hystero-laparoscopic Technique for LNG-IUD Fixation in Women with High Risk of Expulsion and Desiring to Save the Uterus. J Obstet Gynecol India 73, 455–458 (2023). https://doi.org/10.1007/s13224-023-01788-2

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  • DOI: https://doi.org/10.1007/s13224-023-01788-2

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